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SPOKANE LIVING WATER ADULT FAMILY HOME LLC
NPI 1013884758
Custodial Care Facility - Adult Care Home in Spokane, WA

Active since October 18, 2025
1728 N STONE ST, SPOKANE, WA 99207(509) 979-1041(509) 824-7178 Get Directions Write a Review

NPPES record last updated: October 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Spokane Living Water Adult Family Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPOKANE LIVING WATER ADULT FAMILY HOME LLC (NPI 1013884758) is a healthcare organization registered as an adult care home in Spokane, Washington and active in the NPI registry since October 2025. The organization lists Dmitriy Lisovenko, Owner, as its authorized official.

NPPES Registry Identity

NPI1013884758
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSPOKANE LIVING WATER ADULT FAMILY HOME LLC
Location Address1728 N STONE STSpokane, WA 99207-5253
Mailing Address1728 N Stone StSpokane, WA 99207-5253 · (509) 979-1041 · Fax (509) 824-7178
Phone(509) 979-1041
Fax(509) 824-7178
Organization SubpartNo
Authorized OfficialDmitriy LisovenkoOwner · (509) 979-1041
Enumeration DateOctober 18, 2025
NPPES CertifiedOctober 18, 2025
✔ NPI 1013884758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1728 N STONE ST, Spokane, WA 99207
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Frequently Asked Questions

What is SPOKANE LIVING WATER ADULT FAMILY HOME LLC's NPI number?

The NPI number assigned to this healthcare provider is 1013884758, enumerated as an "organization" on October 18, 2025.

Where is the provider located?

The provider is located at 1728 N STONE ST SPOKANE, WA 99207 and the phone number is (509) 979-1041.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.